五华县1994～2005年急性弛缓性麻痹病例监测分析

Results of monitoring of acute flaccid paralysis in Wuhua County from 1994 to 2005

目的了解五华县1994～2005年急性弛缓性麻痹(AFP)发病和监测系统运转情况,为消灭脊髓灰质炎提供科学依据。方法对1994～2005年报告的AFP病例进行流行病学分析。结果1994～2005年报告AFP病例49例,其中1例为非AFP病例,年平均报告发病率1．26/10万；病例大部分为0～4周岁儿童,占总病例数的70．83％；病例多发生于5～8月,占发病总数的47．92％；发病地区无明显聚集趋势；20．83％的病例为零剂次免疫儿童和免疫史不详儿童；所有粪便标本均未分离出脊灰野毒株。县市级以上医疗单位报告43例,乡镇级医疗单位报告5例,占10．40％。结论五华县AFP病例监测系统敏感,质量符合国家要求,但镇级监测系统敏感性不够。应全面落实免疫规划工作,进一步提高AFP病例监测系统的敏感性是今后保持和巩固无脊灰成果的工作重点。

Objective To understand the incidence and acute flaccid paralysis（ AFP） and running status of monitoring system from 1994 to 2005 in Wuhua County and offer reference for elimination. Methods The AFP cases reported from 1994 to 2005 were epidemlologically analyzed. Results Forty - nine AFP cases were reported during 1994 to 2005, including a non- AFP case with an annual average incidence d 1.26/100 000. Most of AFP cases were children sgc between 0 to 4 years, accounted for 70.83%. About 47.92% of the AFP cases occurred from May to August. 20.83% were without vaccination history or unknown immunization history. Wild strain of epidemic infantile paralysis were not isolated from excrement specimens. Conclusion AFP cases monitoring system in this County is effective and up to the national requirement. Fully implementation of immunization work, enhancement of the sensitivity of AFP cases monitoring system, strengthening the management of mobile population and consolidation of achievements are the main tasks in the near future.